Zuni Entrepreneurial Enterprises

Organization Active NPI Developmentally Disabled Services Day Training Agency · Zuni, NM

NPI 1992809388 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992809388
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
License
2481PRF2006 (NM)
Legal business name
ZUNI ENTREPRENEURIAL ENTERPRISES
Practice address
Building 208 B Avenue
Zuni, NM 87327-0989
Phone
(505) 782-5798
Fax
(505) 782-2585
NPI assigned
Sep 7, 2006
Organization subpart
No

Authorized official

Name
Mr. Larry Eugene Alflen, MBA
Title
Executive Director
Phone
(505) 782-5798

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 2481PRF2006 NM Yes

Addresses

Primary practice location

Building 208 B Avenue
Zuni, NM 87327-0989

Mailing address

PO Box 989
Zuni, NM 87327-0989
Phone (505) 782-5798

Other identifiers

IdentifierTypeStateIssuer
E7518MedicaidNM
D1187MedicaidNM

Other providers in Zuni, NM

All providers in Zuni, NM · Developmentally Disabled Services Day Training Agency in New Mexico

Sources for this page

Verify at the official NPI Registry.